Sunday, September 26, 2010

Reconstructive

384) Which of the following statements regarding the Two-Triangular Flap technique for the surgical repair of a complete unilateral cleft lip is FALSE?

A. The lengthening is calculated by measuring the difference in distance between the base of the columella and the high point of the Cupid’s bow on the non-cleft side compared with the cleft side
B. If the dimension of the designed flap has 6 mm or more, two triangular flaps instead of one are recommended.
C. Two-triangular flaps are created on the medial aspect of the cleft side of the lip in its lower and upper portion.
D. With respect to these Two-Triangular flaps, the lower is greater than the upper.
E. The advantage of two-triangular Flap technique is that it minimizes the violation of the philtral column and distributes evenly the tension on the lip.




REFERENCES & ANSWER



Bardach J., Salyer K. E.: Surgical Techniques in Cleft Lip and Palate, Mosby, Second Edition, 1991, pp. 50-52


384) D       With respect to these Two-Triangular flaps, the lower is greater than the upper.


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